SETH DAVID MUDD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164722

License Status

NOT RENEWED

Business

First Name

SETH

Middle

DAVID

Last Name

MUDD

Business Name

SETH DAVID MUDD

Original Issue Date

11/01/2005

Effective Date

11/01/2005

Expiration Date

03/31/2006

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2006